MEDICARE: WE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	200482850 A	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073925392
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE CARE LLC

Provider Business Mailing Address
First Line	:	5400 NW 23RD ST
Second Line	:	SUITE 100
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73127-2367
Country	:	US
Telephone Number	:	405-525-2328
Fax Number	:	405-525-2028

Provider Business Practice Location Address
First Line	:	5400 NW 23RD ST
Second Line	:	SUITE 100
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73127-2367
Country	:	US
Telephone Number	:	405-525-2328
Fax Number	:	405-525-2028

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. KUNA TITAMOHKUMI
Credential	:
Telephone Number	:	405-525-2328

Provider Enumeration Date	:	05/21/2014
Last Update Date	:	05/21/2014

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Directions to “WE CARE LLC ” Practice Location

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